Prasetyono Theddeus O H, Koswara Astrid F
1 Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital/Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Hand Surg. 2015 Oct;20(3):484-7. doi: 10.1142/S0218810415720272.
The objective of this report is to present a case of hand burn linear contracture release performed under local anesthesia. It also introduces the one-per-mil tumescent solution consisted of 0.2% lidocaine and 1:1.000.000 epinephrine as a local anesthesia formula, which has the potential of providing adequate anesthesia as well as hemostatic effect during surgery of the hand without tourniquet. The surgery was performed on a 19 year-old male patient with multiple thumb and fingers flexion linear contracture for 105 minutes without any obstacle. The patient did not complain any pain and discomfort during the procedure; while bloodless operative field was successfully achieved. At four-month follow up, the patient could fully extend his thumb, middle and ring finger, while the index was limited by 10° at the DIP joint. Overall, the patient was satisfied with the outcome.
本报告的目的是呈现一例在局部麻醉下进行手部烧伤线性挛缩松解术的病例。它还介绍了一种每毫升含0.2%利多卡因和1:1000000肾上腺素的肿胀液作为局部麻醉配方，该配方有可能在无止血带的手部手术期间提供足够的麻醉以及止血效果。手术在一名19岁男性患者身上进行，该患者有多个拇指和手指屈曲线性挛缩，手术持续了105分钟，没有任何阻碍。患者在手术过程中未抱怨任何疼痛和不适；同时成功实现了无血手术视野。在四个月的随访中，患者的拇指、中指和环指能够完全伸直，而示指在远侧指间关节处受限10°。总体而言，患者对结果感到满意。
